Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 08998 | Date 26/11/2020 |
| Token No | SM/20-21/27888 27/11/2020 | Serial | 044 Last Visit: 16/03/2021 |
| Patient Name | Mr. SABIR AZIZ | Contact No | 7596981088 |
| Address | FLAT NO. 402, 4 TH FLOOR, 12, AUDDY LANE SERAMPORE | Age | 63 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||